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埃及感染控制的演变:成就与挑战。

Evolution of infection control in Egypt: achievements and challenges.

作者信息

Talaat Maha, Kandeel Amr, Rasslan Ossama, Hajjeh Rana, Hallaj Zoheir, El-Sayed Nasr, Mahoney Frank J

机构信息

Naval Medical Research Unit No. 3, Infection Control Unit, Disease Surveillance Program, Cairo, Egypt.

出版信息

Am J Infect Control. 2006 May;34(4):193-200. doi: 10.1016/j.ajic.2005.05.028.

DOI:10.1016/j.ajic.2005.05.028
PMID:16679176
Abstract

BACKGROUND

The high prevalence of hepatitis C virus (HCV) infection in Egypt highlighted the urgent need for implementing infection control (IC) programs in Egypt.

OBJECTIVES

The Ministry of Health and Population (MOHP), in collaboration with the US Naval Medical Research Unit No. 3, and the World Health Organization (WHO), developed a national plan to initiate an IC program with the objectives of improving quality of care and reducing transmission of hospital-acquired infections.

METHODS

The strategic plan for this program included setting up an organizational structure, developing IC national guidelines, training health care workers, promoting occupational safety, and establishing a system for monitoring and evaluation. Implementation of the program started in late 2001.

RESULTS

The achievements to date include developing a national organizational structure, IC guidelines, and a comprehensive IC training program. To date, a total of 72 hospitals in 13 governorates have been enrolled in the program, and 235 IC professionals have been trained.

CONCLUSIONS

Many challenges were faced, including administrative, financial, and motivational difficulties. Future plans include expansion of the program to cover all 27 governorates of Egypt and establishment of a surveillance system for hospital-acquired infections. The process of developing the IC program in Egypt may serve as a model for other resource-limited countries that seek to initiate similar programs.

摘要

背景

丙型肝炎病毒(HCV)在埃及的高感染率凸显了在埃及实施感染控制(IC)项目的迫切需求。

目的

埃及卫生和人口部(MOHP)与美国海军医学研究第三单位以及世界卫生组织(WHO)合作,制定了一项国家计划,启动感染控制项目,目标是提高医疗质量并减少医院获得性感染的传播。

方法

该项目的战略计划包括建立组织结构、制定感染控制国家指南、培训医护人员、促进职业安全以及建立监测和评估系统。该项目于2001年末开始实施。

结果

迄今为止取得的成果包括建立了国家组织结构、感染控制指南以及全面的感染控制培训项目。到目前为止,13个省的72家医院已加入该项目,235名感染控制专业人员已接受培训。

结论

面临诸多挑战,包括行政、财务和激励方面的困难。未来计划包括将该项目扩大到覆盖埃及所有27个省,并建立医院获得性感染监测系统。埃及制定感染控制项目的过程可能为其他寻求启动类似项目的资源有限国家提供一个范例。

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